Access the forms you need to manage your annuity contracts

We are committed to excellent customer service. If you are not able to find the information you need, have questions or need assistance in completing any of these forms, contact us at (888) 221-1234

Service Forms

Form Name

Complete Online
Download
Authorization forms

Third Party Payee Authorization Form

Transaction Authorization Request (Transfer of Value - TOV)

Beneficiaries

Beneficiary Claim Form

Additional Beneficiary Claim Form

Form W-8BEN, IRS Certificate of Foreign Status of Beneficial Owner

Restricted Beneficiary Payout Form

Death Claims

Deaths Occurring before Dec. 31, 2019

Deaths occurring after Jan. 1, 2020 - Non-qualified account (not IRA)

Deaths occurring after Jan. 1, 2020 - Qualified account (not IRA)

Direct Deposit/ Electronic Funds Transfer (EFT)

Set up direct deposit to bank account [Electronic Funds Transfer (EFT)]

Set up direct deposit to annuity [Pre-Authorized Payments (PAC)]

Distributions and Withdrawals

Application for Settlement Option Benefit

Request for distribution before age 59½ [Pre-59 1/2 Distribution Request]

Required Minimum Distribution (RMD) Withdrawal Request

Recurring withdrawal Systematic Withdrawal Request

Lifetime Income Benefit Riders (LIBR)

Lifetime Income Benefit Rider Election Form

Lifetime Income Benefit Rider Reset Form

Lifetime Income Benefit Rider Termination Form

Wellbeing forms

Lifetime Income Benefit Rider Wellbeing Request Form

Nursing Care Verification Form

Terminal Illness Verification

Other

Certification of Trust Agreement

Ownership Change

Tax Forms

Form Name

Complete Online
Download
General tax forms

Election of Withholding

Roth Conversion

Form W-8BEN, IRS Certificate of Foreign Status of Beneficial Owner

See service forms for Required Minimum Distributions (RMD)
State-specific forms

Arizona - Form A-4P, Request for Arizona Income Tax Withholding

Arkansas - AR4P, Arkansas Tax Withholding Form

Carolina - NC-4P, North Carolina Tax Withholding Form

Connecticut - CT-W4P, Connecticut Tax Withholding Form

Georgia - G4P, Georgia Tax Withholding Form

Michigan - Form MI W-4P, Withholding Certificate for Michigan Annuity Payments

New York - IT-2104-P, New York Tax Withholding Form

FAQ

Form 1099-R for Annuity Distribution
American Equity sends out Form 1099-Rs mid-January each year.

How to read my 1099-R 

Recipient ID#

For your protection, this form may show only the last four digits of your SSN, ITIN, ATIN, or EIN. However, your complete identification number has been reported to the IRS.

Account Number

Your annuity contract number.  

Box 1. Total Distribution

Reports the total distribution from the annuity, and may or may not be the taxable amount.  

Box 2a. Taxable amount

There could be multiple reasons box 2a is blank. Some of the common scenarios are:

  1. The distribution is from a Roth IRA.
  2. The distribution is from an annuity contract that is a non-qualified account and only funds you have already paid taxes on were distributed.
  3. The distribution was a 1035 exchange.

 

Box 2b.

If 'taxable amount not determined' is checked, we are unable to complete the correct taxable amount based on the data available.

Box 4

Reports federal income tax withheld from your distribution.  

Box 7

Provides a distribution code that indicates the nature of the distribution, and will provide information to assist in determining how the distribution needs to be reported on your tax return. A list of distribution codes is provided in the Box 7 paragraph on the reverse side of your 1099-R document.

Box 14-15

Reports any state tax withheld and the taxing jurisdiction for the recipient.

What if I don’t get my 1099-R?

The 1099-R forms are postmarked by Jan. 31. If you will be receiving one you can also check client.american-equity.com to view and download a copy. You can also review your withdrawal history there. If you didn’t have a taxable event, you won’t receive a 1099-R

Why did I receive multiple 1099-R forms?

Here are some situations where you may receive more than one 1099-R:
  1. You took distributions from more than one contract.
  2. You lived in multiple states during the year and received distributions while residing in different states.
  3. You received withdrawals prior to and after turning age 59 ½.

 

There are various reasons why you might receive this form. Some of the most common examples are:

  1. You received a withdrawal from your annuity.
  2. You moved money from one contract to another as an internal rollover.
  3. You converted a traditional IRA to a Roth IRA.
  4. You sent a distribution payment directly to a charity.
  5. If it was a 1035 exchange (non-qualified funds), a form 1099-R will be issued which shows the cost basis. The distribution code 6 will be reported in box 7.

In addition to consulting a qualified tax advisor, how can I verify the information reported on the 1099-R form?

A complete withdrawal history for your annuity contract is available online. Simply log on to our secure client portal at https://client.american-equity.com. If you are a first time user, click the Enroll Now button on the left hand side to sign up. Once logged in, this data is available on the Withdrawal & Payment History tab.

My check was made payable to a third party and was not a 1035 exchange. Why was it reported as taxable?

Withdrawals paid to a third party payee are reported as taxable to the contract owner. Please consult a qualified tax advisor with any questions.
Form 5498 for IRA Contribution

How to read form 5498

Participant ID#

For your protection, this form may show only the last four digits of your SSN, ITIN, ATIN, or EIN. However, your complete identification number has been reported to the IRS.  

Account Number

Your annuity contract number.  

Box 1

Shows traditional IRA contributions made in the reporting tax year and, if designated, through the due date of the tax return not including extensions.   

Box 2

Shows any rollover, including a direct rollover to a traditional IRA or Roth IRA. It does not show any amounts you converted from your traditional IRA, SEP IRA, or SIMPLE IRA to a Roth IRA. They are shown in box 3. See the Form 1040 instructions for information on how to report rollovers.

Box 3

Shows the amount converted from a traditional IRA, SEP IRA, or SIMPLE IRA to a Roth IRA for the year.  

Box 4

Shows amounts recharacterized from transferring any part of the contribution (plus earnings) from one type of IRA to another.  

Box 5

Shows the fair market value of your account at year end. 

Box 7

May show the kind of IRA reported on this Form 5498.  

Box 8

Shows SEP contributions made during the reporting tax year.   

Box 9

Shows SIMPLE contributions made during the reporting tax year.

Box 10

Shows Roth IRA contributions made in the reporting tax year and, if designated, through the due date of the tax return not including extensions.

Why am I receiving Form 5498 in May after due date of my individual income tax return?

Form 5498 is not necessary to file your individual income tax return. This form is an informational document reporting items such as contributions, rollovers, conversions, transfers, re characterizations and fair market value account at year-end.

Do I pay taxes on amounts reported on my Form 5498?

No. Form 5498 does not show distributions from your IRA. Taxable events are reported on Form 1099-R, which is mailed to you in January.

Was the contribution to my IRA reported in the correct tax year?

Box 1 reports contributions (made within the allowable time period) to a traditional IRA that were designated as contributions for the tax year of the Forms 5498 you are receiving. SEP-IRA and SIMPLE-IRA contributions are reported in Boc 8 and 9, respectively. These contributions are reported based on the date we receive the funds.

If I rolled over funds, where are these reported on the Form 5498?

Box 2 reports items such as: a 60-day rollover between Roth IRAs or other types of IRAs; and direct and indirect rollovers from qualified plans.

Does Form 5498 report information for my Roth IRA?

Form 5498 is also used to report Roth contributions (Box 10), conversions and the fair market value of the account at year-end.

Should I receive a Form 5498 on my non-qualified annuity?

No. Form 5498 reports specific transactions related to traditional IRAs, SEP-IRAs, SIMPLE-IRAs and Roth IRAs.